Individual provider Active NPI

Meredith Glickman

  • Physical Therapist
  • Pittsburgh, PA
National Provider Identifier
1982241014
Registry record updated Oct 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
SL009028 Issued in PA
Practice address
2027 Lebanon Church Rd
Pittsburgh, PA 15122-2461
Phone
(412) 655-6449
Fax
(412) 655-6464
NPI assigned
Dec 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X SL009028 PA Primary

Addresses

Primary practice location

2027 Lebanon Church Rd
Pittsburgh, PA 15122-2461

Mailing address

2027 Lebanon Church Rd
Pittsburgh, PA 15122-2461
Phone (412) 655-6449

Other identifiers 1

IdentifierTypeStateIssuer
103714056MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mglickman136271@direct.ahn.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SL009028PAMDPhysical Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1575849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1982241014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2027 LEBANON CHURCH RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "151222461",
            "telephone_number": "412-655-6449",
            "fax_number": "412-655-6464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2027 LEBANON CHURCH RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "151222461",
            "telephone_number": "412-655-6449",
            "fax_number": "412-655-6464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLICKMAN",
        "first_name": "MEREDITH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-09",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "SL009028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103714056",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mglickman136271@direct.ahn.org",
            "affiliation": "N",
            "address_1": "2027 Lebanon Church Rd",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "151222461",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.